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Table 6 Discrimination index comparison according to items’ category

From: Decreasing the options’ number in multiple choice questions in the assessment of senior medical students and its effect on exam psychometrics and distractors’ function

Domain

Five Options (DS)

Three Options (DS)

P-Value

All Items

0.45 ± 0.21

0.53 ± 0.22

0.07

Recall/Comprehension

0.45 ± 0.20

0.53 ± 0.25

0.20

Application/Critical Thinking

0.46 ± 0.23

0.53 ± 0.19

0.25

Targeted Skill

0.45 ± 0.20

0.53 ± 0.19

0.09

General Disease Knowledge

0.47 ± 0.24

0.53 ± 0.28

0.53

Long Stem

0.46 ± 0.21

0.53 ± 0.20

0.20

Short Stem

0.48 ± 0.22

0.52 ± 0.24

0.58